What is required for a determination of service-connected benefits regarding a condition noted prior to service?

For a determination of service-connected benefits regarding a condition that existed prior to service, it is essential to establish clear evidence of aggravation of that condition during the period of military service. This legal principle is grounded in the notion that while a veteran may have entered service with a pre-existing condition, they can only be granted benefits if it can be demonstrated that the condition worsened as a direct result of the duties or conditions experienced during service.

The requirement for clear evidence of aggravation ensures that there is a clear link between the service and the worsening of the pre-existing condition. This means that simply having a condition prior to service isn't enough to qualify for benefits; the veteran must provide documented evidence, such as medical records or testimonies, showing that their condition was aggravated – or made worse – by their time in service.

Establishing this aggravation is critical because the Veterans Affairs system aims to support those whose military service has adversely affected their health. This criterion helps to ensure that benefits are awarded fairly based on the realities of the individual's service experience and its impact on their health.